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References CHAPTER 62: Principles of Carpentier’s Reconstructive Surgery in Degenerative Mitral Valve Disease Pathophysiology and functional classification Surgical indications Principles of mitral valve surgery Results References CHAPTER 63: Transseptal Puncture Introduction Embryology and anatomy of interatrial septum: Training Echocardiographic guidance Know your equipment Specificities in transseptal puncture Complications Conclusions References CHAPTER 64.1: Transcatheter Mitral Valve Repair Introduction MitraClip system (Abbot, Santa Clara, CA, USA) Anatomic caveats and eligibility criteria Mitral valve edge‐to‐edge repair Complications Primary (Degenerative) MR Secondary (Functional) MR Emerging technologies for the percutaneous treatment mitral valve disease Conclusions References CHAPTER 64.2: Transcatheter Mitral Valve Replacement Introduction General principles and challenges with TMVR Preprocedural evaluation and imaging‐based procedural guidance Transcatheter mitral valve‐in‐valve and valve‐in‐ring replacement Treatment of native mitral valve regurgitation Transcatheter mitral valve‐in‐MAC replacement Conclusions References CHAPTER 65: Balloon Mitral Valvuloplasty Anatomic considerations Balloon mitral valvuloplasty Indications and recommendations for percutaneous balloon mitral valvuloplasty Class IIb recommendations Contraindications Peri‐procedural care Patient preparation Techniques BMV in difficult scenarios Complications of BMV Results of BMV Conclusions References CHAPTER 66: Transcatheter Tricuspid Valve Repair and Replacement Percutaneous tricuspid valve edge‐to‐edge repair using a clip system Transcatheter tricuspid annuloplasty Transcatheter valve replacement for severe TR Anatomical and clinical patient selection References CHAPTER 67: Transcatheter Pulmonary Valve Replacement Introduction Established approaches Evolving approaches Imaging and modeling Future potentials Summary References CHAPTER 68: Imaging for Planning and Guidance for Structural Heart Interventions Introduction Transcatheter aortic valve replacement Percutaneous mitral valve repair Transcatheter mitral valve replacement Atrial septal defects/patent foramen ovale closure Transcatheter tricuspid interventions Pericardiocentesis Conclusions References SECTION IV: Interventions for Heart Failure CHAPTER 69: Percutaneous Ventricular Assist Devices Introduction Left‐sided options Right‐sided options Guideline recommendations Summary References CHAPTER 70: Implantable Hemodynamic Monitoring Systems